Individual provider Active NPI

Robert Vartabedian, M.D.

  • Internal Medicine Physician
  • Plymouth, MI
National Provider Identifier
1356310114
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301056690 Issued in MI
Practice address
990 W Ann Arbor TRL
Ste 104
Plymouth, MI 48170-6204
Phone
(734) 414-1099
Fax
(734) 414-1065
NPI assigned
Mar 15, 2006
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301056690 MI Primary

Addresses

Primary practice location

990 W Ann Arbor TRL
Ste 104
Plymouth, MI 48170-6204

Mailing address

990 W Ann Arbor TRL
Ste 104
Plymouth, MI 48170-6204
Phone (734) 414-1099

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robert.vartabedian.1@4591.direct.athenahealth.com Direct
Direct Messaging Address heather.johnson.1@4591.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000227 MI Practitioner - Internal Medicine 2466415906 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

990 W Ann Arbor Trail
Suite 104
Plymouth, MI 48170-1686
Phone (734) 414-1099

990 W Ann Arbor TRL
Suite 104
Plymouth, MI 48170-1686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation Past Accepting new patients
Robert Vartabedian M.D. P.C. Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4591/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rvartabedian1156448@direct.hfhs.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1356310114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W ANN ARBOR TRL",
            "address_2": "STE 104",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706204",
            "telephone_number": "734-414-1099",
            "fax_number": "734-414-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W ANN ARBOR TRL",
            "address_2": "STE 104",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706204",
            "telephone_number": "734-414-1099",
            "fax_number": "734-414-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTABEDIAN",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301056690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.vartabedian.1@4591.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Robert Vartabedian Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PLYMOUTH",
            "address_1": "990 W Ann Arbor Trl",
            "address_2": "Ste 104",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481706204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.johnson.1@4591.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Heather Johnson Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PLYMOUTH",
            "address_1": "990 W Ann Arbor Trl",
            "address_2": "Ste 104",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481706204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.